Acute Ischemic Stroke Boot Camp!

Hey everyone,

As you know Kern Medical Center is currently in the process of  becoming a stroke center. The next few weeks will be dedicated to educate the house staff about acute stroke.

Wednesday 11/5/2014: Acute Stroke - Part 1 Lecture

Catered noon conference by Dr. Sabetian on evaluation of a patient presenting with acute stroke

Friday 11/14/2014: NIH Stroke Scale training - Part 1
Friday 11/21/2014: NIH Stroek Scale Training - Part 2

Wednesday 12/03/2014: Acute Stroke - Part 2 Lecture

The second part of the conference by Dr. Sabetian. At the end of this conference there will be a review of questions and answers in regards NIH Stroke Scale

Once the lecture series is completed, All residents are expected to complete the NIHSS certification process and provide Sharon with a copy of your certificate. This is FREE test that is taken online.

How do I get NIHSS Certified?

• Go to http://nihss-english.trainingcampus.net/
• Click Register on the left box

• Complete the registration information
• Once you are logged in click on "my activities"

• Click on Enroll Now for Certification A

• Complete the videos and answer the questions. Once you complete the certification, you will be able to print out your certificate. Either e-mail or bring a copy to Sharon's office by January 5th 2015

211 Scheduling for Rotation 8 and 9

Please note the following:

Rotation 8 (1 week each rotation):

Assem: ICU/AC/NF/AC

Ansari: AC/ICU/AC/NF

Cohen: NF/AC/ICU/AC

Galustanian: AC/NF/AC/ICU

Rotation 9:

Awerbuck: ICU/AC/NF/AC

Kassabian: AC/ICU/AC/NF

Mustafa: NF/AC/ICU/AC

Yaghoubian: AC/NF/AC/ICU

Strategic napping for fatigue

ACGME recommendation implemented...STRATEGIC NAPPING

Recommended after 16 hours of continuous duty

True story, click the link

Mentorship Program

                Ladies and gentlemen,

 Please make note and use the mentorship program as noted below. Faculty members have been assigned categories to mentor us. It is our responsibility to reach out and make use of this offer.

Download the entire document below.

Resident Guidelines 

1. Select one to three mentors depending on your needs by January 1, 2015
2. Meet with your mentor(s) at least once
3. Complete the evaluation form  for each faculty mentor by January 30, 2015

Faculty Mentoring Program -DOWNLOAD HERE

Schedule Changes for Block 5

Hi Everyone,

Unfortunately one of the ER interns was unable to start his residency this year. Subsequently we are short an intern on wards during the next block. Sarah and I decided to move Hamammi and BenPerlas from ICU to wards. They will be able to do an extra 2 weeks of ICU instead of night float during their 3rd year as the current schedule gave Assem and Cohen an extra 2 weeks of ICU during their 3rd year.

There are several changes that will need to be made to accommodate this

 

Medicine Clinics:

Clinic Cancellations:

• Hammami 10/21, 10/27
• BenPerlas 11/4, 11/10
• Gholam 11/4

New Clinic dates:

• Hammami 10/23, 10/30
• BenPerlas 11/4, 11/12
• Gholam 11/3

Summary:

• Gholam: move 11/4 to 11/3
• Hammami: move 10/21 to 10/23 -and- move 10/27 to 10/30
• BenPerlas move 11/10 to 11/12

Finally,

Chen, Please be aware that on 10/30 and 11/3 Hammami and Chen are both in clinic and Gholam will be off. That means that you will have to sign out your patients at 1pm and likely come early to see and start your patients in time to ensure safetyl

AMiON has been updated to reflect the changes above. Please review the schedule and submit any errors through the blog

Cardiology Lecture Series

Guys and Gals,

Please send Avi or myself MRNs of patients that fit into the cardio bread and butter categories. Simple straight forward cases.  Comprehensive Cardiology has agreed to have a Case Conference Series with up to date management guidelines incorporated into the lecture. Dr. Mehta requested patients with the following problems:

-Atrial fib/flutter/Supraventricular Tachycardias

-Decompensated Heart Failure

-Anticoagulant/Antiplatelet Management

-NSTEMI 

-STEMI and Complications

-PCI/CABG

-Cardiomyopathy

-Valvular disease

-Cardiac Perioperative Management 

-Pacemakers and ICD Malfunction

Please let us know ASAP. I would like to get this going. Cards is HUGE on the boards.

Oh and I think Joel is awesome. Check out this pic.

End of Shift - New Consult Sign Outs (URGENT)

It has come to our attention that several residents are waiting for the next call team to see new consultations. This results in delay of the assessment and treatment implementations patients. The house rules have been modified to optimize patient safety. Please read the following:

1.       Team Senior: (Sunday-Thursday): Senior of the team is responsible for the call from 7am to 9pm.  However, he or she can defer consults to the night float if they are made after 8:30pm to give time for the senior resident to finish notes. The exception to deferring consults after 8:30pm is if the consult is urgent regarding a patient who needs immediate attention.  The senior resident must obtain the consultation from the ED and sign out to the next team. There must be a blank progress note to indicate which resident/attending the patient was signed out to.

2.       Team Senior: (Friday-Saturday): Senior of the team is responsible for the call from 7am-7am. However, he or she can defer consults to the day team if they are made after 6:30am. The exception to deferring consults after 6:30am is if the consult is urgent regarding a patient who needs immediate attention. The senior resident must obtain the consultation from the ED and sign out to the next team. There must be a blank progress note to indicate which resident/attending the patient was signed out to.

In summary:

• Consults can be deferred for night float at 6:30am and for Wards at 8:30pm.
• All ED consults must be written down and signed out to the coming team
• A blank note must be written indicating the resident/attending the patient will be signed out to
• It is not the ED's responsibility to call the coming team. It is the medicine team's responsibility to ensure the consult is seen in a reasonable time